Healthcare Provider Details

I. General information

NPI: 1861074031
Provider Name (Legal Business Name): THE POWER OF MHS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18191 NW 68TH AVE STE 207
HIALEAH FL
33015-3997
US

IV. Provider business mailing address

18191 NW 68TH AVE STE 207
HIALEAH FL
33015-3997
US

V. Phone/Fax

Practice location:
  • Phone: 786-236-5772
  • Fax:
Mailing address:
  • Phone: 786-236-5772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JOSE CARLOS HERRERA
Title or Position: VICE PRESIDENT
Credential:
Phone: 786-236-5772